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pDuring pregnancythis medication should be used only when clearly neededIt may harm an unborn babyAlsobabies born to mothers who have used this drug during the last 3 months of pregnancy may rarely develop withdrawal symptoms such as feeding/breathing difficultiesseizuresmuscle stiffnessor constant cryingIf you notice any of these symptoms in your newborntell the doctor promptly./ppTell your doctor right away if any of these unlikely but serious side effects occurunusual or severe mental/mood changessuch as agitationunusual high energy/excitementthoughts of suicideeasy bruising/bleedingmuscle weakness/spasmshakinesstremordecreased interest in sexchanges in sexual abilityunusual weight loss./ppSelective serotonin reuptake inhibitorlittle or no affinity for alpha-adrenergic histamine or cholinergic receptor./ppTable 2Altered Appetite and Weight Treatment Emergent Adverse ReactionsIncidence in PMDD Placebo-Controlled Clinical Trials./ppBefore using this medicationtell your doctor or pharmacist your medical historyespecially ofpersonal or family history of bipolar/manic-depressive disorderpersonal or family history of suicide attemptsliver problemsdiabeteslow sodium in the bloodsuch as may occur while takingwater pillsdiureticssevere loss of body waterdehydrationseizuresstomach/intestinal ulcerspersonal or family history of glaucomaangle-closure type/p

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